Theodore S. Lawrence MD
Radiation Oncology Physician in Ann Arbor, MI(View on Map)
Full Name
Theodore S Lawrence MD
NPI Number
1144312547
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/29/2006
Specialties
(Taxonomies)Code
2085R0001X
207R00000X
207RX0202X
Primary Taxonomy
Yes
No
No
Licenses
State
Michigan
License Number
4301050925
Contact
Information
Purpose
Mailing
Location
Address
3621 S STATE ST
1500 E MEDICAL CENTER DR
City
Ann Arbor
Ann Arbor
State
MI
MI
Postal Code
48108-1633
48109-5000
Country
US
US
Telephone Number
(734) 647-5299
(734) 936-4000
Identifiers
Identifier
3453959
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/13/2020